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Importantly, a balanced gut microbiota supports the production of anti-inflammatory cytokines, such as IL-10, which help protect both the intestinal barrier and the BBB (Mou et al., 2022)

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J Biol Chem 294:48434853 Tanaka Y, Gleason CE, Tran PO, Harmon JS, Robertson RP (1999) Prevention of glucose toxicity in HIT-T15 cells and Zucker diabetic fatty rats by antioxidants

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[DOI] [PubMed] [Google Scholar] 54.Bhutia G.T., De A.K., Bhowmik M., Bera T

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( B ) Schematic of renal carnitine synthesis pathway where BBOX1 (surrounded with red) is the rate limiting enzyme

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These show increases earlier in the course of deficiency, before hematologic manifestations set in

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